No abstract

Patients treated with infliximab therapy for luminal Crohn's disease in our outpatient clinic achieved excellent induction and maintenance of response rates, confirming the real-life efficacy of maintenance infliximab established in clinical trials.

BACKGROUND AND PURPOSE:The cause of syringomyelia in patients with Chiari I remains uncertain. Cervical spine anatomy modifies CSF velocities, flow patterns, and pressure gradients, which may affect the spinal cord. We tested the hypothesis that cervical spinal anatomy differs between Chiari I patients with and without syringomyelia.

Extracorporeal membrane oxygenation (ECMO) is a life-saving treatment for pediatric patients with respiratory and/or cardiac failure. The ECMO circuit oxygenates and sometimes pumps the blood, effectively replacing lung and/or heart function temporarily. ECMO patients are clinically very complex not only because of their underlying, life-threatening pathology, but also because of the many physiological parameters that must be monitored and adjusted to maintain adequate tissue perfusion and oxygenation. Drainage and reinfusion cannulae connecting the patient to the ECMO circuit are visible on radiograph. These cannulae have different functions, different configurations, different radiographic appearances, and different positions that should be familiar to the interpreting pediatric radiologist. The primary complications of ECMO include hemorrhage, thrombosis and ischemia, as well as equipment failure and cannula malpositioning, all of which may be detected on imaging. In this pictorial essay, we discuss the basics of ECMO function and clinical management, ECMO cannula features and configurations, and the many complications of ECMO from an imaging perspective. Our goal is to educate pediatric radiologists about ECMO imaging, equipping them to properly interpret these studies and to become a useful consultant in ECMO patient care.

A fluorinated aromatic polyanhydride (B) was synthesized from the melt condensation of mixed anhydrides of 4,4′‐(hexafluoroisopropylidene)bis benzoic acid. Although the mixed anhydride from acetic anhydride yielded only a mixture of oligomers (weight‐average molecular weight < 2000), higher weight‐average molecular weight materials in the range of 15,000–18,000 were obtained with trifluoroacetic anhydride. Polymer B was soluble in chloroform and tetrahydrofuran, had a relatively high glass‐transition temperature of 176 °C with no melting point detected to 310 °C, and showed excellent thermal stability (5% weight loss observed at 380 °C by thermogravimetric analysis). The hydrolytic degradation of the fluorinated polyanhydride in a 0.1 M phosphate buffer of pH 7.4 at 37 °C was initially zero‐order, with 35% degradation occurring in 10 days. Loss of film integrity following that led to accelerated degradation, and almost complete dissolution was observed by the 16th day. The stability of the fluorinated polyanhydride in the solid state and in the solvent tetrahydrofuran was also evaluated. © 2002 Wiley Periodicals, Inc. J Polym Sci Part A: Polym Chem 40: 3027–3036, 2002